Individual
KYLE R EXSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3366 OAKDALE AVE N, SUITES 103 & 104, ROBBINSDALE, MN 55422-2948
(763) 520-7870
(763) 520-7889
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10293
MN
363AS0400X
Surgical Physician Assistant
Primary
10293
MN
Other
Enumeration date
06/27/2007
Last updated
03/07/2023
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